{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BENNY E CLIFTON","gend":0,"add":"2005 LANDERS WAY","city":"BIG STONE GAP","state":"VA","zip":242199999,"dob":"1956-08-08","age":"","mstatus":"","insh":11004831,"cliId":"3V04NW4AY68","pno":2762207707,"cno":2762987238,"email":"","ename":"","eno":"","pphy":"WATSON, BRYAN L","ppno":2766798890,"pcpadd":"310 3rd St NE","pcpcity":"Norton","pcpstate":"VA","pcpzip":242731137,"pcpcounty":"WISE","pcpid":"P9059214","pcpname":"WELLMONT MEDICAL ASSOCIATES INC"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["I51.7","J84.10","J06.9","R51","R05","R53.83","M79.10","R09.81","J34.89","M25.50","R06.2","R14.0","I49.9","I10","Z86.73","F17.210","I48.91","H92.01","I63.412","M25.511","G62.9","E78.2","I48.2","I51.9","N20.0","N13.30","N40.0","I71.2","R31.0","R31.9","R10.9","R06.02","R53.1","K21.9","D41.4","K62.9","K63.9","D49.4","R52","I69.391","R13.10","Z79.01","C67.2","I77.810","D12.3","D12.0","D12.6","Z12.11","K63.5","J44.9","I25.10","I48.0","Z85.828","Z82.49","Z83.3","Z01.810","Z88.0","I48.1","I69.351","F41.9","F32.9","N40.1","R33.8","I71.4","E78.5","D09.0","C43.71","D48.5","C43.59","D23.71","E29.1","R04.2","R07.9","R09.1","J40","S43.001S","Z79.899","R73.02","Z87.891","Z85.51","N39.0","J20.9","J44.0","G40.901","R56.9","I69.398","J96.00","J18.9","I48.20","E87.2","I69.320","H91.90","Z74.3","Z46.82","R40.0","Z86.79","E78.1","Z85.820","E87.6","F17.200","G40.909","R60.0","J43.8","I87.2","D03.59","I77.819","G40.301","G93.89","M62.81","R27.8","R26.9","R47.01","R41.841","R41.82","R53.81","R94.01","G89.29","L03.90","J96.10","F33.9","Z79.1","C67.3","D22.5","I63.9","D64.9","Z20.828","G47.00","Z99.81","Z72.0","R73.9","E74.39","E11.9","H61.20","H93.8X1","R00.0","L21.0","K59.00","R14.3","G40.101"],"date":["2020-10-01","2019-02-27","2019-02-27","2020-02-27","2020-02-21","2019-02-27","2019-06-06","2019-02-27","2019-02-27","2019-02-27","2020-02-21","2020-06-30","2019-02-27","2020-10-15","2020-03-01","2020-05-26","2020-05-26","2020-08-19","2020-01-22","2020-01-22","2020-10-12","2020-01-22","2019-07-31","2019-04-08","2020-05-06","2019-05-30","2020-05-26","2020-10-01","2019-09-03","2019-05-16","2019-05-16","2020-02-21","2020-02-21","2020-05-26","2020-01-22","2019-05-17","2019-06-24","2019-05-30","2019-06-06","2020-10-01","2019-06-06","2020-03-16","2020-10-01","2020-01-22","2019-06-24","2019-06-24","2019-06-24","2019-06-24","2019-06-24","2020-10-15","2020-04-09","2019-06-24","2019-06-24","2019-06-24","2019-06-24","2019-08-29","2019-08-29","2019-09-03","2020-10-15","2020-06-18","2020-06-03","2019-09-03","2019-09-03","2019-09-03","2020-10-15","2019-09-03","2019-10-10","2019-10-10","2020-10-01","2019-10-23","2019-11-04","2020-01-29","2018-11-09","2018-11-09","2020-03-05","2018-12-10","2020-02-27","2018-12-10","2020-01-22","2020-05-26","2020-05-21","2020-02-21","2020-02-27","2020-10-01","2020-03-01","2020-02-27","2020-03-01","2020-02-28","2020-10-01","2020-02-27","2020-02-27","2020-02-27","2020-02-27","2020-02-29","2020-02-27","2020-03-01","2020-03-01","2020-03-01","2020-03-01","2020-03-01","2020-10-01","2020-03-17","2020-01-22","2020-01-22","2020-01-22","2020-02-28","2020-10-01","2020-10-01","2020-09-01","2020-03-03","2020-03-03","2020-08-19","2020-03-03","2020-03-03","2020-03-03","2020-03-03","2020-09-28","2020-03-17","2020-10-14","2020-10-12","2020-03-19","2019-10-01","2019-10-01","2020-10-12","2020-05-21","2020-05-26","2020-05-26","2020-05-26","2020-10-14","2020-08-07","2020-08-04","2020-09-28","2020-08-19","2020-08-19","2020-02-27","2020-06-18","2020-06-30","2020-06-30","2020-02-28"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["Yes","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-assessment & Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[null,null,null,null,null,null,""]},{"a":[0,"","",0,{"txt":""},{"malnutrition":[]}]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]}]},{"t":"Home Safety","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"icd-10","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a9":"","a10":[],"a11":""}]}]}